MR. Justin Jacob Gilliam, BSW
NPI #1225470834 in Easthampton, Massachusetts
Provider Information
- NPI Number
- 1225470834
- Entity Type
- Individual
- Name
- MR. Justin Jacob Gilliam, BSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- BSW
- Enumeration Date
- Jul 24, 2013
- Last Updated
- Sep 9, 2013
Practice Location
- Address
- 179 NORTHAMPTON ST
- City
- Easthampton
- State
- Massachusetts
- ZIP Code
- 01027-1057
- Phone
- (413) 529-9047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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